esophageal varices

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Related to esophageal varices: esophageal reflux, Esophageal cancer


 [vār´iks] (L.)
an enlarged, tortuous vein, artery, or lymphatic vessel.
aneurysmal varix a markedly dilated tortuous vessel; sometimes used to denote a form of arteriovenous aneurysm in which the blood flows directly into a neighboring vein without the intervention of a connecting sac.
arterial varix a racemose aneurysm or varicose artery.
esophageal varices varicosities of branches of the azygous vein which anastomose with tributaries of the portal vein in the lower esophagus; due to portal hypertension in cirrhosis of the liver.
lymph varix (varix lympha´ticus) a soft, lobulated swelling of a lymph node due to obstruction of lymphatic vessels.

e·soph·a·ge·al var·i·ces

longitudinal venous varices at the lower end of the esophagus as a result of portal hypertension; they are superficial and liable to ulceration and massive bleeding.

esophageal varices

a complex of longitudinal tortuous veins at the lower end of the esophagus, enlarged and swollen as the result of portal hypertension. These vessels are especially susceptible to hemorrhage. Conditions that can cause portal hypertension include cirrhosis and chronic hepatitis.
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Esophageal varices: endoscopic view

esophageal varices

The presence of varices under the esophageal mucosa, which most commonly occurs in a background of advanced liver disease Etiology Portal HTN, schistosomiasis Management Acute hemorrhage of EVs is treated by balloon compression; rebleeding is common, and is preemptively managed with endoscopic sclerotherapy, which in turn is often complicated by rebleeding, stenosis, & esophageal ulceration; some data suggest that combined modality therapy with a β-blocking agent–nadolol, propranolol and an anti-hypertensive–isosorbide mononitrate is better than endoscopic sclerotherapy in treating EVs Prognosis Good if unrelated to cirrhosis. See Endoscopic sclerotherapy, Nadolol with isosorbide mononitrate.

e·soph·a·ge·al va·ri·ces

(ĕ-sof'ă-jē'ăl var'i-sēz)
Longitudinal venous varices at the lower end of the esophagus as a result of portal hypertension; they are superficial and liable to ulceration and massive bleeding.
Synonym(s): oesophageal varices.

e·soph·a·ge·al va·ri·ces

(ĕ-sof'ă-jē'ăl var'i-sēz)
Longitudinal venous varices at lower end of esophagus as a result of portal hypertension; superficial and liable to ulceration and massive bleeding.


of or pertaining to the esophagus.

esophageal achalasia
esophageal anomalies
very rare; include atresia, duplication, segmental aplasia, esophagorespiratory fistulae, diverticula, epithelial inclusion cysts.
esophageal atresia
congenital lack of continuity of the esophagus, commonly accompanied by tracheoesophageal fistula, and characterized by accumulations of mucus in the nasopharynx, gagging, vomiting when fed, cyanosis and dyspnea. Treatment is by surgical repair by esophageal anastomosis and division of the fistula.
esophageal distention
may result from acute or chronic obstruction of the esophagus, or from defective innervation. See also megaesophagus.
esophageal duplication
may be tubular and communicate with the effective esophagus, or cystic appearing as a cystic mass close to the functioning esophagus.
esophageal ectasia
esophageal enlargement
clinically visible enlargement as seen in esophageal diverticulum, stenosis, paralysis, cardial obstruction.
esophageal fibrosis
a cause of acquired megaesophagus; usually caused by trauma or spontaneous ulceration.
esophageal groove
see reticular groove.
esophageal groove lesion
includes granuloma, papilloma, foreign body lodgment; cause of obstructive bloat.
esophageal hyperkeratosis
hyperkeratotic thickening of the esophageal mucosa due usually to hypovitaminosis A or chlorinated naphthalene poisoning.
esophageal inflammation
esophageal motility disorders
esophageal neoplasm
very rare except for papilloma and fibropapilloma; causes chronic esophageal obstruction.
esophageal obstruction
acute obstruction is manifested by inability to swallow, regurgitation of saliva, food and water through the nose and much discomfort expressed by retching movements and pawing at the throat. Ruminants develop ruminal tympany. Chronic obstruction shows the same syndrome but with a gradual development and a tendency to develop aspiration pneumonia.
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Palpating an esophageal obstruction in a cow. By permission from Blowey RW, Weaver AD, Diseases and Disorders of Cattle, Mosby, 1997
esophageal osteosarcoma
occurs in dogs in association with the parasite Spirocerca lupi.
esophageal papilloma
a cause of obstructive bloat.
esophageal paralysis
causes esophageal obstruction.
esophageal patching
see patch graft.
esophageal perforation
causes local cellulitis and compression-obstruction of esophagus.
esophageal pulsion diverticulum
a diverticulum that pushes outwards causing pressure on surrounding organs and tissues.
esophageal segmental aplasia
causes esophageal obstruction in neonates.
esophageal stenosis, esophageal stricture
causes esophageal obstruction; may be partial, permitting passage of liquids.
esophageal tube
see nasogastric tube.
esophageal ulcer
usually associated with pressure necrosis due to prolonged obstruction and injury by a solid foreign body or, rarely equine dysautonomia or Gasterophilus spp. infestation.
esophageal varices
distended veins at the gastric cardia causing dysphagia.
References in periodicals archive ?
Esophageal varices are one of the major complications of liver cirrhosis caused by portal hypertension.
North Italian Endoscopic Club for the Study and Treatment of Esophageal Varices.
Conclusion: The PC/SD ratio is found to be the most reliable marker to prognosticate esophageal varices.
Comparison of Single verses multiple session band ligation for the treatment of bleeding esophageal varices.
While another study reported that none of the patients with compensated cirrhosis developed esophageal varices after achieving SVR as compared to 39% who did not achieve SVR18.
Fifty-three years' experience with randomized clinical trials of emergency portacaval shunt for bleeding esophageal varices in Cirrhosis: 1958-2011.
When viral cirrhosis is the etiology of the liver failure, patients have up to a 25% chance of developing severe portal hypertensive gastropathy and a nearly 90% chance of developing any degree of esophageal varices.
Esophageal banding and sclerotherapy should be offered to patients with acute hemorrhage from esophageal varices.
One study found isosorbide mononitrate (ISMN) alone as primary prophylaxis increased the risk for possible variceal bleeding after treatment follow up; researchers recommended ISMN has no place in the prophylactic treatment of esophageal varices (Minano & Garcia-Tsao, 2010).
Coverage includes the use of anticoagulants and antiplatelet agents, the use of antibiotics, hemostatic devices, and therapies for peptic ulcer bleeding, esophageal varices, portal hypertensive gastropathy, removal of foreign bodies, benign and malignant esophageal strictures, esophageal obstructions, Barrett's esophagus, cancer, leaks, bleeding, polyps, and other problems.